MEDICARE: CRISPINO S SANTOS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	8198	NV
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	8198	NV
3	208VP0014X	Interventional Pain Medicine Physician	8198	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	V101852	OTHER	NV	MEDICARE ID-PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134128333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRISPINO S SANTOS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 33309
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-3309
Country	:	US
Telephone Number	:	702-434-7246
Fax Number	:	702-258-5581

Provider Business Practice Location Address
First Line	:	7190 SMOKE RANCH RD
Second Line	:	SUITE 150
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8397
Country	:	US
Telephone Number	:	702-434-7246
Fax Number	:	702-258-5581

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	02/24/2015

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Directions to “ CRISPINO S SANTOS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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